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BLAIRE PAULSEN
NPI 1023686987
Counselor - Mental Health in Oak Park, IL

Active since June 16, 2021PECOS EnrolledAccepts Medicare Assignment
1010 LAKE ST STE 500, OAK PARK, IL 60301(773) 665-8052(708) 384-7501 Get Directions Write a Review

NPPES record last updated: June 16, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Blaire Paulsen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLAIRE PAULSEN (NPI 1023686987) is an individual mental health provider in Oak Park, Illinois and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1023686987
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBLAIRE PAULSEN
Location Address1010 LAKE ST STE 500Oak Park, IL 60301-1135
Mailing Address2620 N Dayton St Apt 3fChicago, IL 60614-7098 · (502) 415-3520
Phone(773) 665-8052
Fax(708) 384-7501
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 16, 2021
NPPES CertifiedJune 15, 2021
✔ NPI 1023686987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1010 LAKE ST STE 500, Oak Park, IL 60301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Blaire Paulsen is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345758645
PECOS Enrollment IDI20250806000872
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Blaire Paulsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Smart Love Parenting Center
0.8 mi
Community/Behavioral Health
610 S MAPLE AVE, SUITE 5300
Oak Park, IL 60304
  • Reassigned Medicare billing, Illinois enrollment
  • 13 clinicians in this Medicare group
NPI 1922206101 (773) 665-8052

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRITNEY CHAVERS LSW
Social Worker
1010 LAKE ST STE 500
OAK PARK, IL 60301
Cook County (773) 665-8052
HALEY ROSENTHAL LPC
Counselor (Professional)
1010 LAKE ST STE 500
OAK PARK, IL 60301
Cook County (708) 316-8534
DR. PAULA CICCARONE PH.D.
Psychologist (Clinical)
1010 LAKE ST STE 500
OAK PARK, IL 60301
Cook County (773) 665-8052
STEVEN BINNS
Social Worker
1010 LAKE ST STE 500
OAK PARK, IL 60301
Cook County (708) 566-6486
OLIVIA DELAFIELD TINATI
Counselor (Mental Health)
1010 LAKE ST STE 500
OAK PARK, IL 60301
Cook County (773) 665-8052
CANDICE OBERLIES PA-C
Physician Assistant
1010 LAKE ST STE 500
OAK PARK, IL 60301
Cook County (708) 524-8600
DR. SARA BETH JOHNSON M.S.W., L.C.S.W, PHD
Social Worker (Clinical)
1010 LAKE ST STE 500
OAK PARK, IL 60301
Cook County (773) 665-8052
JANINE MARIE PHAN MA, LPC
Counselor (Mental Health)
1010 LAKE ST STE 500
OAK PARK, IL 60301
Cook County (773) 665-8052

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blaire Paulsen's NPI number?

The NPI number for Blaire Paulsen is 1023686987. It was assigned to this individual provider in the NPPES registry on June 16, 2021.

Where is Blaire Paulsen located?

Blaire Paulsen practices at 1010 Lake St Ste 500, Oak Park, IL 60301. The listed phone number is (773) 665-8052.

What is Blaire Paulsen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Blaire Paulsen enrolled in Medicare?

Yes. Blaire Paulsen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Blaire Paulsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Blaire Paulsen reassigns Medicare benefits to Smart Love Parenting Center (Oak Park, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Blaire Paulsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Blaire Paulsen accept?

Health plans from Oscar Health list Blaire Paulsen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Blaire Paulsen was last updated on June 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.